| Date of birth: | 1949 |
| Hair: | Brown |
| Eyes: | Brown |
| State id: | 461034 |
| SO#: | 214517 |
| Booked at: | SALT LAKE |
| Cob: | Utah |
| Booking number: | 9619162 |
| Booking date: | Oct 2, 1996 |
| Release date: | Oct 3, 1996 |
| Booking location: | Salt Lake County, UT |
| Number: | 961015023FS |
| Amount: | $100,000 |